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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Reynolds
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    Robert Reynolds — Billing Profile & Reimbursement Data

    NPI 1285868968 · Bismarck, ND · Radiation Oncology Physician

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    Robert Reynolds is a radiation oncology physician provider located in Bismarck, North Dakota. This profile covers 30 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Reynolds
    Address500 N 8th St
    CityBismarck
    StateND
    ZIP58501
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedMay 8, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is concentrated in advanced external-beam radiation delivery and planning: total Medicare revenue is $1.4M and the precomputed top three Medicare codes (G6015, 77014, 77301) account for 59.4% of that revenue, with G6015 contributing $521.8K (38.0%), 77014 contributing $176.3K (12.8%), and 77301 contributing $118.6K (8.6%). These code-level revenues indicate that high-tech treatment delivery and associated simulation/planning are the primary revenue drivers for this practice.

    The code mix (G6015, 77301, 77373, 77427, 77338 and multiple 77xxx planning/physics codes) describes a practice focused on IMRT and stereotactic body radiotherapy plus substantial dosimetry and physics work. Multiple high-revenue items are procedure and physics-intensive (for example, 77301 and 77338), which implies the operation is structured around delivery of complex external-beam treatments and the technical planning and QA that accompany them.

    Payer mix is effectively single-payer: Medicare accounts for all reported government payments and Medicaid shows none on file. The record explicitly lists Total Medicare revenue: $1.4M and Total Medicaid revenue: none (no Medicaid billing on file), so analysts should treat this profile as Medicare-dominant when modeling patient mix or reimbursement risk.

    Competitive standing by code is mixed: the highest-revenue code G6015 ($521.8K) ranks #118 of 1429 providers nationally and is labeled "typical, unremarkable volume for this code," indicating the provider is not an extreme national outlier on IMRT delivery despite it being the largest revenue source. By contrast 77014 ($176.3K) ranks #165 of 4303 providers (96th percentile; notably above typical national volume for this code), and several planning/MLC design codes (e.g., 77338 at the 95th percentile and 77334 at the 96th percentile) are also "notably above typical," signifying above-typical utilization in parts of the planning/dosimetry stack relative to peers.

    Although many codes are in the "typical, unremarkable" volume category (for example 77301 at the 89th percentile and 77373 at the 87th percentile), the provider posts multiple high-percentile planning and accessory codes (77014, 77334, 77338, 77427), which together paint a picture of a modest national participant that nevertheless concentrates volume on certain technical planning and delivery services. This pattern suggests specialization in resource-intensive radiation therapy workflows rather than broad dominance across all radiation oncology services.

    There are occasional procedure-level items outside core IMRT/physics that appear in the top codes, such as 55874 (12 claims, $28.4K; 2.1% of Medicare revenue) for perirectal spacer insertion; that code ranks #464 of 557 providers nationally (8th percentile; typical, unremarkable volume for this code). Its presence in the top list indicates some engagement with prostate-directed workflows, but its low national rank implies this is not a primary service line relative to the rest of the field.

    Tenure on file is long: the NPI was enumerated on 2009-05-08 (~17 years ago), which provides a stable historical presence to pair with current utilization patterns when assessing referral relationships or contracting history. Analysts can treat reported utilization as coming from an established practice rather than a recently started NPI.

    From an operational revenue-risk perspective, the concentration of 59.4% of Medicare revenue in three codes (G6015, 77014, 77301) makes the provider more sensitive to reimbursement or utilization changes affecting advanced delivery and simulation/planning codes. Given no Medicaid billing on file, any payer-policy changes that disproportionately affect Medicare technical radiation codes would have outsized impact on the practice’s reported government revenue.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,790$290$521.8K
    77014N/A1,820$100$176.3K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…80$1,480$118.6K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…130$810$103.4K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…420$150$63.4K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…120$370$45.9K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev210$190$40.3K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…460$70$31.7K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.350$80$29.7K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…10$2,360$28.4K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G60151101,270$290$405.3K
    77373110100$820$78.3K
    77014210900$60$57.8K
    7730141060$690$41.6K
    G6012110170$190$32.4K
    77427110160$150$28.5K
    7728021050$180$25.9K
    5587461020$990$18.8K
    77336110290$70$17.4K
    7733811070$250$16.7K

    Showing 1–10 of 30

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Robert Reynolds, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Sanford BismarckNDMulti-Specialty Clinic/Center$0$43.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Winona Health ServicesMNGeneral Acute Care Hospital$0$13.4M
    Sanford BismarckNDGeneral Acute Care Hospital$0$12.5M
    Sanford BismarckNDClinical Medical Laboratory$726.9K$4.3M
    St. Alexius Medical CenterNDSpecialist$0$3.6M
    St. Alexius Medical CenterNDGeneral Acute Care Hospital$0$3.5M

    Nearby Providers

    Other providers in the same ZIP code as Robert Reynolds, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Enable, Inc.NDIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$40.8M
    Heartview FoundationNDSubstance Use Disorder Rehabilitation Clinic/Center$0$13.6M
    Bismarck Public Schools Early InterventionNDEarly Intervention Provider Agency$0$12M
    West Central Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.2M
    D. Michael Goebel D.d.s., PCNDPediatric Dentistry$0$5.8M
    Poppy's Promise LLCNDCommunity/Behavioral Health Agency$0$5.6M
    Lasting Love HomecareNDIn Home Supportive Care Agency$0$3.6M
    Sanford BismarckNDEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.5M
    West Central Behavioral Health ClinicNDCommunity/Behavioral Health Agency$0$3.4M
    Mid Dakota Clinic, Inc.NDClinic/Center$0$2.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Dakota Distribution
    Robert Reynolds — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota